Gas Exchange

Written by Jess Speller and Panav Sharma

Last updated 19th March 2026
40 Revisions

Gas Exchange - Podcast Version

TeachMePhysiology

0:00 / 0:00

Gas exchange is the process by which oxygen and carbon dioxide move between the bloodstream and the lungs. This is the primary function of the respiratory system and ensures a constant supply of oxygen to tissues, whilst removing carbon dioxide to prevent its accumulation.

This article will discuss the principles of gas exchange, factors affecting the rate of gas exchange, and relevant clinical conditions.

Pro Feature - 3D Model

Physics of Gas Diffusion

Gas molecules move randomly within a contained space (such as the lungs). The collision of gas molecules with the sides of the container results in pressure. The ideal gas law defines the determinants of pressure in a container.

Ideal gas law to calculate pressure of a gas in a container showing pressure of gas is proportional to number of moles of the gas multiplied by absolute temperate divided by the volume of the container

Fig 1
Ideal gas law to calculate pressure of a gas in a container

Between two contained spaces, whilst maintaining random motion, the overall movement of gases will cause diffusion from an area of high concentration to low concentration. The rate of gas diffusion depends mainly on the following factors:

  • Concentration gradient: The greater the gradient, the faster the rate
  • Surface area for diffusion – the greater the surface area, the faster the rate
  • Length of the diffusion pathway – the greater the length of the pathway, the slower the rate

Laws Governing Gas Exchange

Several laws govern gas exchange, including Graham’s law, Henry’s law, and Fick’s law. Together, they describe the rate of diffusion of carbon dioxide and oxygen across the alveolar membranes and into the capillaries. To apply these laws, we assume that temperature is 37°C and pressure is also fixed (as they roughly are in the alveoli).

Graham’s law

Graham’s law describes how multiple gases diffuse, such as in the alveolar space which primarily contains oxygen, carbon dioxide and nitrogen.

Graham's Law showing the rate of diffusion of a gas is proportional to 1 divided by the square root of the molar mass of the gas

Fig 2
Graham’s Law describing how gases diffuse

Therefore, the smaller the mass of a gas, the more rapidly it diffuses, allowing them to reach equilibrium faster.

Fick’s Law

Fick’s law describe the rate at which gases diffuse through a medium such as the alveolar or capillary wall or blood.

Fick's Law showing the rate of diffusion of a gas through a medium equals the pressure gradient of the gas multiplied by the surface area of the medium multiplied by the diffusion coefficient divided by the thickness of the medium

Fig 3
Fick’s Law describing the rate of diffusion of a gas through a medium

In the lungs, whilst oxygen is smaller than carbon dioxide, the difference in solubility (represented by the diffusion coefficient) means that carbon dioxide diffuses 20 times faster than oxygen. However, the large partial pressure gradient of oxygen compensates for this, creating a greater diffusion gradient than carbon dioxide.

In disease states that impair oxygen ventilation, oxygen exchange is compromised before carbon dioxide exchange due to the reduction of the pressure gradient.

Henry’s law

Henry’s law describes how gases diffuse through liquids, such as when gases diffuse into the capillary blood. In this case the solubility of the gas becomes important and is defined by Henry’s law.

Henry's Law showing that the concentration of dissolves gas in a liquid equals the solubility constant multiplied by the partial pressure of the gas above the liquid

Fig 4
Henry’s Law describing how a gas dissolves into liquids

Therefore, the higher the partial pressure of a gas, the more will be dissolved in the liquid. However, some gases are more soluble than others, as determined by their solubility constant (k).

Carbon dioxide is inherently more soluble than oxygen, allowing it to dissolve more rapidly into the blood compared to oxygen, despite a smaller pressure gradient.

Diffusion of Oxygen

In the alveoli, the partial pressure of oxygen is lower than the external environment. This is due to the continuous diffusion of oxygen across the membrane into the blood and the diluting effect of carbon dioxide entering the alveoli to leave the body.

The partial pressure of oxygen is even lower in the capillaries than the alveoli, resulting in a net diffusion of oxygen into the blood, following Fick’s law. Once oxygen diffuses into the plasma, it binds to haemoglobin within red blood cells, forming oxyhaemoglobin. Thus, oxyhaemoglobin is used to transport oxygen through the bloodstream to respiring tissues.

At rest, oxygen has around one second to complete diffusion from the alveolus into the pulmonary capillary. During exercise, this reduces to half a second as blood velocity increases. Oxygen exchange only takes half a second to complete when a blood cell enters the capillary, meaning that exercise capacity is not normally limited by the rate of gas exchange.

Fig 5
Diagram showing the partial pressures of oxygen and carbon dioxide in the respiratory system

Diffusion of Carbon Dioxide

The partial pressure of CO2 is around 45mmHg in the capillary, 40mmHg in the alveoli and 0.2mmHg in the external environment. This 5mmHg capillary-alveolar gradient drives a net diffusion of CO2 from the capillaries into the alveoli. The CO2 is then exhaled into the external environment.

Carbon dioxide is transported in the blood in multiple ways. It can be dissolved, associated with proteins and transported as bicarbonate ions.

Diffusion Barrier

The diffusion barrier in the lungs from the alveoli to the blood cell consists of:

  • Alveolar epithelium
  • Tissue fluid
  • Capillary endothelium
  • Plasma
  • Red cell membrane

Fig 6
Diagram showing the layers making up the diffusion barrier in the lungs

Clinical Relevance

Factors Affecting The Rate of Diffusion

Disease pathophysiology affects the rate of diffusion. Examples include:

  • Increased diffusion distance
    • Fluid in the interstitial space (pulmonary oedema)
    • Thickening of the alveolar membrane (pulmonary fibrosis)
  • Reduced surface area
    • Emphysema causes the destruction of the alveolar architecture and the formation of large air-filled spaces known as bullae. This reduces the surface area available for gas exchange
Clinical Relevance

Emphysema

Emphysema is a chronic, progressive disease that results in destruction of the alveoli in the lungs to form larger bullae. This greatly reduces the surface area for gas exchange, causing hypoxia as oxygen is slower to enter the bloodstream (Type 1 respiratory failure).

The main symptom of emphysema is shortness of breath; however, patients may also experience wheezing, a persistent cough or chest tightness.

Emphysema and chronic bronchitis are both encompassed by the term Chronic Obstructive Pulmonary Disease (COPD). Whilst smoking is the most common cause of COPD, other risk factors include exposure to second-hand smoke, occupational fumes or dust and high levels of pollution.

Management depends on the stage of the condition (i.e. the degree of symptoms and airway obstruction) but typically includes:

  • Smoking cessation
  • Bronchodilators to reduce bronchial constriction
  • Inhaled corticosteroids to reduce airway inflammation
  • Antibiotics and oral steroids to treat infectious exacerbations of the disease
  • Long-term Oxygen Therapy (LTOT) in severe progressive disease

Fig 7
Emphysematous lungs

Do you think you’re ready? Take the quiz below

Pro Feature - Quiz
Gas Exchange

Question 1 of 3

Submitting...
Rate question:
You scored
0%
Skipped: 0/3

More Questions Available

Upgrade to TeachMePhysiology Pro

Challenge yourself with over 2100 multiple-choice questions to reinforce learning

Learn More